• Title/Summary/Keyword: Treatment need

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Effects of Training on Sit to Stand on Various Seat Heights on the Balance in Stroke Patients (다양한 좌석 높이에서 일어서기 훈련이 뇌졸중 환자의 균형에 미치는 영향)

  • Kim, Hyun-Sung;Seo, Byoung-Do
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.253-260
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    • 2020
  • This study aimed to compare the effects of sit-to-stand training, or training to stand up from sitting positions at various seat heights, on the balance recovery among stroke patients. This study included 20 stroke patients who were randomly divided into two groups. Each group was trained for six weeks, three times a week from March to June 2019. Static balance and dynamic balance were measured, and the variations were analyzed using the paired t-test and the independent t-test. There were significant changes observed in both static and dynamic balance (p<.05) before and after training. However, no significant changes were seen in the static balance in the standing posture with eyes closed (p>.05). This study confirmed that there was a significant effect of training on the balance of stroke patients, especially when progressively lower seat heights were used during the training. This suggests new directions for treatment during rehabilitation for balance recovery of stroke patients. Further studies will need to apply this training to a larger number of subjects, and use various training methods such as randomization of seat height to enable the generalization of the results of this study and application in clinical practice.

Does dexmedetomidine combined with levobupivacaine in inferior alveolar nerve blocks among patients undergoing impacted third molar surgery control postoperative morbidity?

  • Patil, Shweta Murlidhar;Jadhav, Anendd;Bhola, Nitin;Hingnikar, Pawan;Kshirsagar, Krutarth;Patil, Dipali
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.2
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    • pp.145-153
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    • 2022
  • Background: Postoperative analgesia (POA) is an important determinant of successful treatment. Dexmedetomidine (DEX) has recently gained attention as a promising adjuvant to local anesthetics (LA). The present study aimed to evaluate the efficacy and safety of levobupivacaine (LB) as an adjuvant during inferior alveolar nerve block (IANB) in the extraction of lower impacted third molars (LITM). Methods: A prospective, randomized, placebo-controlled, triple-blind, parallel-arm, and clinical study was performed on 50 systemically healthy participants who required removal of an asymptomatic LITM. Using a 1:1 distribution, the participants were randomized into two groups (n = 25). Group L (control group) received 1.8 mL of 0.5% LB and 0.2 mL normal saline (placebo) and Group D (study group) received a blend of 1.8 mL of 0.5% LB and 0.2 mL (20 ㎍) DEX. The primary outcome variable was the duration of POA and hemodynamic stability, and the secondary variable was the total number of analgesics required postoperatively for up to 72 h. The participants were requested to record the time of rescue analgesic use and the total number of rescue analgesics taken. The area under the curve was plotted for the total number of analgesics administered. The pain was evaluated using the visual analog scale. Data analysis was performed using paired students and unpaired t-test, Mann-Whitney U test, Chi-square test, and receiver operating characteristic analysis. Statistical significance was set at P < 0.05. Results: The latency, profoundness of anesthesia, and duration of POA were statistically significant (P < 0.05). The differences between mean pain scores at 6, 12, 24, 48, and 72 h were found to be significant (each P = 0.0001). Fewer analgesics were required by participants in group D (2.12 ± 0.33) than in L (4.04 ± 0.67), with a significant difference (P = 0.0001). Conclusion: Perineurally administered LA with DEX is a safe, effective, and therapeutic approach for improving latency, providing profound POA, and reducing the need for postoperative analgesia.

Microplastics Intellectual Network Analysis based on Bigdata (빅데이터 기반한 미세플라스틱 지적네트워크 분석)

  • Kim, Younghee;Chang, Kwanjong
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.239-259
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    • 2022
  • Since 2019, research on microplastics has been actively conducted around the world, so analyzing the differences between domestic and foreign microplastics research can be a milestone in establishing the direction of domestic research. In this study, microplastic papers from KCI and WoS were extracted and the differences between domestic and foreign studies were analyzed using a network analysis methodology based on big data such as author keyword co-occurrence word analysis, thesis co-citation analysis, and author co-citation analysis. As a result of the analysis, the analysis of the research topic confirmed that studies that could affect the human body and the treatment of microplastics in daily life were additionally needed in Korea. In the analysis of the depth of thesis citation that examines the quality of research, it was found that Korea was still insufficient at 2.25 overseas and 1.39 in Korea. In the analysis of the composition of the joint research front, where various researchers participate and share information, 3 out of 22 clusters in Korea are Star type. In the case of overseas, all 19 clusters have a mesh structure, so it was confirmed that information flow and sharing were insufficient in specific research fields in Korea. These research results confirmed the need to expand the research topic of microplastics, improve the quality of research, and improve the research promotion system in which various researchers participate. In addition, if the automation program is developed based on topic modeling, it will be possible to build a system capable of real-time analysis.

A Study on the need of the Conversion of Fire Services to State Affairs (소방사무의 국가사무로의 전환 필요성에 관한 연구)

  • Lee, Jae-Hak;Jang, Seong-Ho
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.281-290
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    • 2021
  • The scope of fire services has been expanded from local fire prevention to rescue and first aid services, and the fire services system has been converted from an autonomous fire services system to a wide-area fire services system, and the status of fire officers has been unified as a national public servant. However, the underlying problem remains unsolved. One is a problem related to the conversion of fire services to state affairs, and the other is that Fire officers converted to national public servants are in charge of fire services which are evaluated as local autonomous affairs. The controversy over the nature of fire service stems from uncertainty and redundancy in the coordination of office function and distribution between the State and Local governments, and incomplete legislation that fundamentally fails to achieve systematic unity of office work and status. The fire service has a national responsibility as an affair that includes the existence of the state and the welfare and order of the people along with the police affairs. That is, affairs related to the safety of the people that protect the lives, bodies and properties of the people should be understood as State affairs. 「The LOCAL AUTONOMY ACT」 stipulates that local governments cannot perform State affairs such as affairs necessary for the existence of the nation, affairs requiring performance in a uniform manner throughout the nation, and affairs of nationwide or similar scale unless otherwise provided by the law. Fire Service should be regarded as such affairs. Considering that the rights to the safety and life of the people and the duty to protect the people are the duty of the nation, it is necessary to keep in mind that the reason for the change fire officers to the national public servants was not basically just a matter of treatment and finance.

A Survey About Awareness and Necessity of Community Based Dysphagia Therapy of Community Dwelling Older Adults (지역사회 거주 노인들의 연하장애 인식과 중재 필요성)

  • Min, Kyoung Chul;Kim, Eun Hee;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.39-51
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    • 2022
  • Objective : This study aimed to investigate the awareness and experience of community-based dysphagia therapy and related education in community-dwelling older adults. Methods : A total of 89 older adults were recruited from a public health center in Gyeonggi-do. Awareness, experience, and related education regarding community-based dysphagia therapy were analyzed using descriptive statistics. Results : We analyzed 89 questionnaires. Awareness, treatment experience, and education regarding dysphagia were low; however, the importance and intention to participate were high. Respondents wanted education about proper chewing and safe swallowing, oral health, oral motor exercise, and participation in community-based dysphagia programs in public health centers. The reason for the lack of experience in dysphagia education and therapy is insufficient information and opportunities. The respondents had a good understanding of dysphagia symptoms. Conclusion : Dysphagia therapy maintains swallowing and eating functions as a life-long Activity of Daily Living, and is a very important area in community rehabilitation. Based on the results of this survey, the necessity and importance of community-based dysphagia were identified. It is time to provide correct information and develop a systematic education program for community-based dysphagia therapy. Occupational therapists need to play an active role in improving quality of life by early detection and providing proper intervention.

Antiviral Activity of Plant-derived Natural Products against Influenza Viruses (식물 유래 천연물의 인플루엔자에 대한 항바이러스 활성)

  • Kim, Seonjeong;Kim, Yewon;Kim, Ju Won;Hwang, Yu-bin;Kim, Seong Hyeon;Jang, Yo Han
    • Journal of Life Science
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    • v.32 no.5
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    • pp.375-390
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    • 2022
  • Influenza viruses are zoonotic respiratory pathogens, and influenza infections have caused a substantial burden on public health systems and the livestock industry. Although currently approved seasonal influenza vaccines have shown potent protection efficacy against antigenically well-matched strains, there are considerable unmet needs for the efficient control of viral infections. Enormous efforts have been made to develop broadly protective universal influenza vaccines to tackle the huge levels of genetic diversity and variability of influenza viruses. In addition, antiviral drugs have been considered important interventions for the treatment of viral infections. The viral neuraminidase inhibitor oseltamivir is the most widely used antiviral medication to treat influenza A and influenza B viruses. However, unsatisfactory clinical outcomes resulting from side effects and the emergence of resistant variants have led to greater attention being paid to plants as a natural resource for anti-influenza drugs. In particular, the recent COVID-19 pandemic has underpinned the need for safe and effective antiviral drugs with a broad spectrum of antiviral activity to prevent the rapid spread of viruses among humans. This review outlines the results of the antiviral activities of various natural products isolated from plants against influenza viruses. Special focus is paid to the virucidal effects and the immune-enhancing effects of antiviral natural products, since the products have broad applications as inactivating agents for the preparation of inactivated vaccines and vaccine adjuvants.

A Study on Radiation Dose and Image Quality using Dual Energy Computed Tomography ECG Gating High Pitch Chest Pain Protocol Mode (이중 에너지 전산화 단층촬영 ECG Gating High Pitch Chest Pain Protocol 모드를 이용한 방사선량과 영상 품질에 관한 연구)

  • Kim, Gyeong-Rip;Sung, Soon-Ki;Kim, Chang-Hyeun;Kwak, Jong-Hyeok
    • Journal of the Korean Society of Radiology
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    • v.16 no.1
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    • pp.7-13
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    • 2022
  • This study compared the aortic root image by using the ECG gating and non-ECG gating methods. We observed the presence or absence of progression of the aortic root image in the images examined by the high pitch (flash) chest pain protocol method and in the patients tested without ECG gating by the conventional method. The AAPM phantom was scanned by using high pitch (flash) chest pain protocol and general chest pain protocol. CTDI values were compared. By ECG gating, the blurring of ascending aorta was significantly reduced compared to the existing non-ECG gating test method, and the image quality of the aortic root was improved. Within the parametar range that did not show differences in noise, uniformity, and high contrast resolution, CTDI values were lower when tested with the high-pitch chest pain protocol. It was found that there is an advantage in dose reduction, and if it is applied and applied to diagnostic fields such as dissection using the dose reduction mode in the cardiac field, it is a very important test for patients who need rapid diagnosis and prompt treatment as well as a dramatic reduction in exposure dose. It is presumed to be a method.

Anti-inflammatory Effects of Earthing Mattress in Mouse (Balb/c 생쥐에 대한 어싱 매트리스에 의한 항염 효과)

  • Kim, Ji Youn
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.3
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    • pp.89-93
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    • 2022
  • Earthing, caused by direct skin contact with the Earth's surface, is used to reduce the symptoms of inflammation (fever, fever, swelling and pain). However, there is little evidence to support the anti-inflammatory effects of earthing mattresses. Therefore, this study was conducted to investigate whether anti-inflammatory effect of earthing mattress using an in vivo animal model. The anti - inflammatory effect was evaluated by measuring ear thickness and foot volume in 12-O-tetradecanoylphorbol-13 acetate (TPA) - induced ear edema and carrageenan - induced paw edema model, respectively. Balb/c mouse in carrageenan paw edema model showed significant anti - inflammatory effect in the group treated with earthing mattress for 4 hours or 24 hours for 3 days. For females, the anti-inflammatory effect was greater when the earthing mattress was added to the mattress than the mattress alone treatment. From the above results, it was found that the female responds more to the effect of the earthing as well as the mattress effect. In addition, when the male and female Balb/c mice were exposed to mattresses and earthing mattresses for 24 h for 3 days, respectively, the mattress and earthing mattresses showed significant inhibition of IL (Interleukin)-1β levels compared to the control. In the TPA ear edema model, Balb/c mouse showed significant anti - inflammatory effect in the group treated with the earthing mattress for 4 hours or 24 hours for 3 days. Both males and females showed more anti-inflammatory effects when they were exposed to earthing mattresses with mattresses added to the mattresses. From the above results, it was found that both male and female respond to the effect of earthing as well as the mattress effect in the TPA ear edema model. In conclusion, in this study, we have verified that earthing mattress shows inhibitory effects on TPA and carrageenan-induced inflammation. From these results, it is suggested that the anti-inflammatory effect can be expected by applying the earthing mattress to patients suffering from inflammatory diseases. However, there is a need to pinpoint exactly how the earthing mattress relieves inflammation, and further research is needed to investigate the mechanism.

Survey on the Perceptions of Tele-Physical Therapy of Health and Non-Health Majors in Their 20s (20대 보건계열과 비 보건계열 전공자의 원격물리치료에 대한 인식도 조사)

  • Kim, Jin-Ee;Jung, In-Seon;Kim, Ji-Yeon;Nam, Bong-Hyeon;Park, Seo-Young;Shin, Su-Ji;Lee, Geun-Hyung;Lee, Soo-Ah;Lee, Chan-Yeon;Ham, Chae-Yeon;Kim, Min Hee
    • PNF and Movement
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    • v.20 no.3
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    • pp.307-319
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    • 2022
  • Purpose: This study aimed to investigate the perceptions of tele-physical therapy of health and non-health majors. It can provide basic research data for the provision of medical services in the future by identifying the level of awareness of the need for tele-physical therapy and the factors that affect it. Methods: The subjects were adults aged 20 to 29 in Korea, with 199 participants consisting of 83 health majors and 116 non-health majors. The survey was conducted over a period of 14 days. The survey comprised 19 questions, including 10 questions about general characteristics and 9 questions about tele-physical therapy recognition. The results were statistically analyzed using a statistical package program. Results: There was a significant difference between the two groups regarding the recognition of tele-physical therapy, with an average of 2.64 points in health majors and an average of 1.71 points in non-health majors, showing a low overall score. There was no significant difference in perception of the necessity of tele-physical therapy, with an average of 3.71 points in health majors and an average of 3.49 points in non-health majors, showing a high score, which was defined as a score of 3 or higher. Conclusion: Health and non-health majors showed low awareness of tele-physical therapy. A high level of perceived necessity for tele-physical therapy was shown. In the perception of tele-physical therapy in health majors, 'awareness', 'health improvement', and 'convenience' affect the perception of the necessity of tele-physical therapy. In non-health majors, 'knowledge and skills', 'health improvement', 'expected treatment satisfaction', and 'resolving restrictions on hospital visits' affect the perception of the necessity of tele-physical therapy.

Environmental Impact Evaluation of Mechanical Seal Manufacturing Process by Utilizing Recycled Silicon from End-of-Life PV Module (태양광 폐모듈 실리콘을 재활용한 메커니컬 실 제조공정의 환경성평가)

  • Shin, Byung-Chul;Shin, Ji-Won;Kwon, Woo-Teck;Choi, Joon-Chul;Sun, Ju-Hyeong;Jang, Geun-Yong
    • Clean Technology
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    • v.28 no.3
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    • pp.203-209
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    • 2022
  • An environmental evaluation was conducted by employing LCA methodology for a mechanical seal manufacturing process that uses recycled silicon recovered from end-of-cycle PV modules. The recycled silicon was purified and reacted with carbon to synthesize β-SiC particles. Then the particles underwent compression molding, calcination and heat treatment to produce a product. Field data were collected and the potential environmental impacts of each stage were calculated using the LCI DB of the Ministry of Environment. The assessment was based on 6 categories, which were abiotic resource depletion, acidification, eutrophication, global warming, ozone depletion and photochemical oxidant creation. The environmental impacts by category were 45 kg CO2 for global warming and 2.23 kg C2H4 for photochemical oxide creation, and the overall environmental impact by photochemical oxide creation, resource depletion and global warming had a high contribution of 98.7% based on weighted analysis. The wet process of fine grinding and mixing the raw silicon and carbon, and SiC granulation were major factors that caused the environmental impacts. These impacts need to be reduced by converting to a dry process and using a system to recover and reuse the solvent emitted to the atmosphere. It was analyzed that the environmental impacts of resource depletion and global warming decreased by 53.9% and 60.7%, respectively, by recycling silicon from end-of-cycle PV modules. Weighted analysis showed that the overall environmental impact decreased by 27%, and the LCA analysis confirmed that recycling waste modules could be a major means of resource saving and realizing carbon neutrality.